肝藏血兮肺主气,血为荣兮气为卫,阴阳配偶不参差,两脏通和皆类例。血衰气旺定无
娠,血旺气衰应有体。寸微关滑尺带数,流利往来并雀啄,小儿之脉已见形,数月怀耽犹
未觉。左疾为男右为女。流利相通速来去,两手关脉大相应。已形亦在前通语。左手带
纵两个男,右手带横一双女,左手脉逆生三男,右手脉顺生三女。寸关尺部皆相应,一
男一女分形证。有时子死母身存。或即母亡存子命。往来三部通流利,滑数相参皆替替,
阳实阴虚脉得明,遍满胸膛皆逆气。左手太阳浮大男。右手太阴沉细女,诸阳为男诸阴
女,指下分明长取记。三部沉正等无疑,尺内不止真胎妇,夫乘妻兮纵气雾,妻乘夫兮横
气助,子乘母兮逆气参,母乘子兮顺气护。小儿日足胎成聚。身热脉乱无所苦,汗出不食
吐逆时,精神结备其中住,滑疾不散胎三月,但疾不散五月母,弦紧牢强滑者安,沉细而微
归泉路。
神方验胎散 妇人两三个月,月经不行,疑是两身,却疑血滞,心烦寒热恍惚,此药可验。
真雀脑芎(一两) 当归(全用,重一两者只用七钱)
上二味。为细末,分作二服,浓煎好艾汤一盏调下。或好酒调服亦得。可待三两个时辰
间,觉脐腹微动仍频,即有胎也,动能即愈,安稳无虞。如不是胎,即不动。所滞恶物自行,母
亦安也。如服药下觉效。再煎红花汤调下,必有神效。
验胎方 经脉不行,已经三月者。
用川芎为细末,浓煎艾叶汤,空心调下二钱。觉腹内微动,则有胎也,否则是经滞。
艾醋汤 如过月难明有无,或月数未足难明。
用好醋 艾服半盏。后腹中翻,大痛是有孕,不为痛定无。
探胎散 妇人胎气有无,疑似之间,以此探之,有胎则吐,无则不吐。
皂角(去皮)(皂角探胎,未有不吐,但恐胃弱之妇,即无胎亦不免于吐耳) 甘草(炙,各一
钱) 黄连(五分)
上为细末,作一服,温酒调服。
肝脏贮藏血液,肺脏主管气机;血化为营气,气化为卫气。阴阳配偶协调无偏差,两脏通调和谐皆属常例。若血虚而气旺,则必定没有妊娠;若血旺而气衰,则应当有身孕。寸脉微、关脉滑、尺脉带数,脉象流利往来如雀啄米,这是小儿之脉的形态,但此时数月怀胎尚未被察觉。左手脉疾快为男,右手脉疾快为女。脉象流利相通、来去迅速,两手关脉大且相应,这些已在前文通语中提及。左手脉带纵纹生两个男孩,右手脉带横纹生一对女孩;左手脉逆生三个男孩,右手脉顺生三个女孩。寸、关、尺三部脉象都相应,是一男一女的征象。有时出现子死母存的情况,或者母亡子存的情况。三部脉往来通利流畅,滑数相参且跳动有力(替替),阳气实而阴虚的脉象得以明确,遍满胸膛皆为逆气。左手太阳脉浮大为男,右手太阴脉沉细为女,诸阳脉主男,诸阴脉主女,指下分辨分明需长时诊察以记取。三部脉沉正等而无疑虑,尺脉内不止动的是真正的孕妇。夫乘妻为纵,气如雾弥漫;妻乘夫为横,气相助;子乘母为逆,气参杂;母乘子为顺,气护持。胎儿足月成形聚结。身体发热、脉乱但无所苦楚,出汗、不食、呕吐不时,精神凝聚于其中。脉滑疾而不散为怀孕三个月,仅疾而不散为五个月母亲(可能难产或危重?注:原文“五月母”通常指五月胎动或五月母病,此处依字面译),脉弦紧牢强且滑者安,脉沉细而微者归泉路(死亡)。
神方验胎散:妇人怀孕两三个月,月经停止,怀疑是双身(怀孕),却又怀疑是血滞,心烦、寒热交替、神志恍惚,此药可用来验证。真雀脑芎(一两)、当归(全用,若重一两则只用七钱)。以上两味药,研为细末,分作两次服用,用浓煎的好艾汤一盏调服。或用好酒调服也可以。可以等待三两个时辰之间,感觉脐腹微微频繁跳动,就是有胎了,胎动即愈,安稳无忧。如果不是胎,就不会动。所停滞的恶物自行排出,母亲也平安。如果服药后觉得有效,再煎红花汤调服,必有神效。
验胎方:经脉不行,已经三个月的。用川芎研为细末,浓煎艾叶汤,空腹调服二钱。感觉腹内微微跳动,则有胎,否则是经血阻滞。
艾醋汤:如果过月难以明确有无,或月数未足难以明确。用好醋和艾叶各半盏服用。之后腹中翻腾、大痛是有孕,如果不痛则无。
探胎散:妇人胎气有无,在疑似之间,以此探查,有胎则吐,无则不吐。皂角(去皮)、甘草(炙,各一钱)、黄连(五分)。以上研为细末,作一次服用,温酒调服。(注:皂角探胎,无不引起呕吐,但恐怕胃弱的妇人,即使无胎也不免呕吐。)
The Liver stores Blood, while the Lung governs Qi; Blood transforms into Ying (Nutritive) Qi, and Qi transforms into Wei (Defensive) Qi. When Yin and Yang are paired without discrepancy, the harmonious communication between these two organs follows a standard pattern. If Blood is deficient and Qi is hyperactive, pregnancy is definitely absent; if Blood is abundant and Qi is deficient, pregnancy should be present. A superficially weak Cun pulse, a slippery Guan pulse, and a rapid Chi pulse, with a fluid, incoming-outgoing motion resembling a sparrow pecking rice, indicate the pulse shape of a fetus, yet months of gestation may remain undetected. A rapid pulse on the left indicates a male, and a rapid pulse on the right indicates a female. Fluid and connected pulses that come and go quickly, with corresponding large Guan pulses on both hands, have been mentioned in previous general discussions. A longitudinal pulse pattern on the left hand suggests twins of males, while a transverse pattern on the right hand suggests twins of females; an inverse pulse on the left hand suggests three males, and a smooth/obedient pulse on the right hand suggests three females. When the Cun, Guan, and Chi positions all correspond, it indicates one male and one female. Sometimes, the fetus dies while the mother survives, or the mother dies while the fetus survives. If the pulses in the three positions are free-flowing and smooth, with slippery and rapid qualities appearing vigorous (Ti Ti), the condition of excess Yang and deficiency Yin becomes clear, and rebellious Qi fills the chest. A floating and large Taiyang pulse on the left indicates a male; a deep and fine Taiyin pulse on the right indicates a female. All Yang pulses relate to males, and all Yin pulses relate to females; distinct differentiation under the fingers must be recorded through prolonged palpation. If the pulses in the three positions are deep, regular, and equal without doubt, but the Chi position shows continuous movement, it confirms a true pregnant woman. "Husband overcomes Wife" corresponds to Longitudinal (Zong), where Qi spreads like mist; "Wife overcomes Husband" corresponds to Transverse (Heng), where Qi assists; "Child overcomes Mother" corresponds to Inverse (Ni), where Qi interferes; "Mother overcomes Child" corresponds to Smooth/Obedient (Shun), where Qi protects. When the fetal term is complete and the form aggregates, the body may feel feverish and the pulse chaotic, yet there is no suffering; sweating, anorexia, and frequent vomiting occur, while spirit gathers within. A slippery and rapid pulse that does not scatter indicates three months of pregnancy; a merely rapid pulse that does not scatter at five months may indicate maternal danger. A string-tight, firm, strong, and slippery pulse indicates safety; a deep, fine, and faint pulse leads to death (returning to the springs).
Shenfang Yantai San (Divine Formula for Fetal Verification Powder): For women who are two to three months pregnant, with amenorrhea, suspected pregnancy but also suspected blood stasis, accompanied by mental restlessness, alternating chills and fever, and confusion, this medicine can verify the condition. Zhen Que Nao Xiong (Ligusticum Chuanxiong, 1 liang); Dang Gui (Angelica Sinensis, used whole; if weighing 1 liang, use only 7 qian). These two ingredients are ground into fine powder and divided into two doses. Mix with a cup of strongly decocted good Ai Ye (Artemisia argyi) tea and take orally. Alternatively, mix with good wine. After waiting for three to four shichen (6-8 hours), if slight, frequent movements are felt in the umbilical and abdominal region, pregnancy is confirmed; fetal movement brings relief, ensuring safety and peace. If there is no pregnancy, there will be no movement. The stagnant evil substances will pass naturally, and the mother remains safe. If efficacy is felt after taking the medicine, decoct Hong Hua (Carthamus tinctorius) tea again to mix and take, which will surely yield miraculous effects.
Yantai Fang (Fetal Verification Prescription): For those whose menstrual flow has ceased for three months. Use Chuan Xiong (Ligusticum Chuanxiong) ground into fine powder, mixed with strongly decocted Ai Ye (Artemisia argyi) tea, taken on an empty stomach, 2 qian per dose. If slight internal movement is felt, pregnancy is confirmed; otherwise, it is menstrual stagnation.
Ai Cu Tang (Mugwort and Vinegar Decoction): For cases where the missed period makes it unclear whether pregnancy exists, or when the number of months is insufficient for clear determination. Take half a cup of good vinegar and Ai Ye (Artemisia argyi). If subsequent abdominal turning and severe pain occur, pregnancy is present; if no pain occurs, there is no pregnancy.
Tantai San (Fetal Exploration Powder): To explore whether fetal qi exists in cases of doubt regarding pregnancy. If pregnant, vomiting occurs; if not, no vomiting. Zao Jiao (Gleditsia sinensis, peeled); Gan Cao (Licorice Root, honey-fried, each 1 qian); Huang Lian (Coptis chinensis, 0.5 qian). Grind these into fine powder, prepare as one dose, and take mixed with warm wine. (Note: Zao Jiao for fetal exploration invariably causes vomiting, but caution is advised for women with weak stomachs, as they may vomit even without pregnancy.)